Core Clinical Services

LBN: Core Clinical Services
Core Clinical Services is an health care organization with primary practice located at 9475 Deereco Rd Suite 410, Timonium MD 21093-2118. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as the primary health care specialty. Core Clinical Services can be contacted via phone (410) 560-6135, or through Laban, Marquerite Petranella via phone (410) 371-7187.

Contact Information

Primary practice address
9475 Deereco Rd Suite 410 Timonium MD 21093-2118
Phone: (410) 560-6135
Fax: (410) 560-6136
Website:
Map and Directions
Authorized official contact:
Name: Laban, Marquerite Petranella PHD
Phone: (410) 371-7187

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 05420 Maryland

Profile Details

NPI number 1649656943
LBN Legal business name Core Clinical Services
DBA Doing business as
Authorized official Laban, Marquerite Petranella PHD
Entity Organization
Organization subpart 1 No
Enumeration date Aug 10th, 2015
Last updated Aug 8th, 2023 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1649656943 NPPES
Maryland MEDICAID 717002500

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